Search › Wisconsin › 106S00000X
Jade Lisowicz
NPI 1205644747 · on the registry since 2024 · sole proprietor
Practice
- Address
- 6140 W Executive Dr
Mequon, WI 53092 - Phone
- (888) 754-0398
- Clinicians at this address
- 76
Registry record
- Primary taxonomy
- 106S00000X
106S00000X
- Licence states on file
- WI
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2024-12-30
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Wisconsin